Care Home: Meadbank Nursing Home

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What the care home does well Provides potential residents with good information to help them decide whether to use the service. Assesses the needs of new residents thoroughly, which means that the service does not admit anyone for whom it cannot provide appropriate care and support. Audits and monitors the quality of care residents receive. Makes relatives welcome when they visit and keeps relatives well informed about their family members. Meets residents’ healthcare needs well and liaises effectively with other healthcare professionals when necessary. What has improved since the last inspection? A clinical nurse manager has been appointed. This role has been important in improving the consistency of practice through monitoring and training. Two activities co-ordinators have been appointed. This has greatly improved the range of activities available to residents. Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.2 Residents/relatives meetings have been established. These meetings give residents and relatives the chance to have their say about the service. The quality of recording on care plans has improved and important information is kept up to date. Staff share important information more effectively. We found more evidence of residents’ involvement in their care plans than at previous inspections. What the care home could do better: Decorate all areas of the home to a good standard. Make sure that carpets and furniture are clean and of good quality, including in areas where staff work. Remove any trailing wires to reduce the risk of trips and falls. Make sure there are enough toilets and bathrooms available to meet residents’ needs. Make sure that communal toilets are lockable to maintain the privacy and dignity of people using them. Investigate any delays in responding to the nurse call system. Carry out regular maintenance checks to ensure that equipment in residents’ rooms is working. Key inspection report CARE HOMES FOR OLDER PEOPLE Meadbank Nursing Home 12 Parkgate Road Battersea London SW11 4NN Lead Inspector Simon Smith Key Unannounced Inspection 21st September 2009 10:00 DS0000019107.V378073.R01.S.do c Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadbank Nursing Home Address 12 Parkgate Road Battersea London SW11 4NN Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 7801 6000 020 7978 5726 thompsmi@bupa.com www.bupa.co.uk BUPA Care Homes (ANS) Ltd Michalae Katherine Ann Thompson Care Home 176 Category(ies) of Dementia (176), Mental disorder, excluding registration, with number learning disability or dementia (10), Old age, of places not falling within any other category (176), Physical disability (176), Terminally ill (176) Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd October 2008 Brief Description of the Service: Meadbank Nursing Centre provides accommodation for a maximum of 176 residents. 123 people lived at the home at the time of inspection. The home is situated in Battersea, close to local shops and services. Battersea Park and the River Thames are nearby. Weekly fees vary from £674 to £1350. The home is generally well decorated although some areas would benefit from redecoration. There is a courtyard garden which has been improved since the last inspection. Each resident has a single room and many have en suite bathroom facilities. Communal lounges, dining areas and bathrooms are available on each floor. The home is divided into units, each of which has an allocated manager. There is a dedicated dementia unit on the third floor. Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two stars. This means the people who use this service experience good quality outcomes. We used information from a range of sources when making this judgement about the home. This included visiting the home unannounced on two occasions in September 2009 and speaking to people who live there, their families, the manager and staff including the deputy manager, clinical nurse manager, nurses and healthcare assistants. We checked some written records including residents’ files and health and safety checks. We also took into account any information the home had sent us since the last inspection. This included notifications of any accidents, incidents, complaints or safeguarding alerts. The manager filled in a Quality Assurance Assessment (AQAA) which gave us information about the home in the last year. We made surveys available to residents and staff. What the service does well: Provides potential residents with good information to help them decide whether to use the service. Assesses the needs of new residents thoroughly, which means that the service does not admit anyone for whom it cannot provide appropriate care and support. Audits and monitors the quality of care residents receive. Makes relatives welcome when they visit and keeps relatives well informed about their family members. Meets residents’ healthcare needs well and liaises effectively with other healthcare professionals when necessary. What has improved since the last inspection? A clinical nurse manager has been appointed. This role has been important in improving the consistency of practice through monitoring and training. Two activities co-ordinators have been appointed. This has greatly improved the range of activities available to residents. Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.2 Page 6 Residents/relatives meetings have been established. These meetings give residents and relatives the chance to have their say about the service. The quality of recording on care plans has improved and important information is kept up to date. Staff share important information more effectively. We found more evidence of residents’ involvement in their care plans than at previous inspections. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 3 and 4 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Potential residents have access to good information to help them decide whether to use the service. New residents’ needs are assessed before they move into the home. Assessments record residents’ individual preferences about the care and support they receive. EVIDENCE: Potential customers have access to good information to help them decide whether to use the service. Bupa has produced a Statement of Purpose which Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 9 provides information about the facilities and services of the home and sets out residents’ rights. We found evidence that new residents’ needs are assessed before they move into the home. This means that the service does not admit anyone for whom it cannot provide appropriate care and support. The assessments we saw addressed communication, personal care, religious, cultural and spiritual needs, eating and drinking, medication, keeping safe and end of life preferences. The assessments also recorded important lifestyle preferences such as whether the resident prefers a male or female carer, whether they prefer a shower or a bath and which toiletries they prefer to use. The home does not admit residents for intermediate care. Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9, 10 and 11 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The standard of written recording is good and important information is kept up to date. The home has effective systems in place to monitor the quality of care planning. Residents have access to medical treatment when they need it. Medication is stored securely and administered safely. The home is implementing systems to ensure that people nearing the end of their lives receive consistent, high quality care. EVIDENCE: Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 11 Each resident has a care plan that details their individual support needs and preferences. We checked a sample of care plans on each unit. We found that the standard of recording was good and that important information was kept up to date. The home has effective systems in place to monitor the quality of care plans. Unit managers audit 10 of care plans each month and a member of the senior management team audits a further sample. Care plans contained a record of all medical appointments and assessments addressing moving and handling, falls, nutrition, continence and skin integrity. Where the assessments identify a risk to a resident’s well being, staff draw up a separate care plan to address this issue. Residents have regular access to general practitioners and care plans demonstrated that residents have medical treatment when they need it. We observed that staff interacted positively with residents during the inspection and that personal care needs were met promptly. Staff providing support at mealtimes did so discretely and in a manner that preserved residents’ dignity. Medication in the home is stored securely. There is a written medication policy and all staff responsible for giving medication sign to record their understanding of this policy. We checked medication storage and administration records on each unit and found that medication is administered safely. All the medication we checked corresponded with the details on the administration record. Medication administration records contained a photograph of each resident and recorded any known allergies. The medication fridge in the ground floor treatment room should be re-positioned or the door re-hung on the other side of the fridge as the current arrangement makes it difficult for staff to access the contents. The home is working with the local Primary Care Trust in implementing the Gold Standard Framework. The Gold Standard Framework aims to ensure that people nearing the end of their lives receive a consistently high quality of care. The framework focuses on continuity of care, teamwork, advance planning, symptom control and support for patient and their carers. Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 – 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The range of activities available to residents was much improved, particularly for people with dementia. Friends and relatives are made welcome when they visit and staff are available to speak to them when needed. The home is committed to ensuring that people who lack capacity to make decisions about their lives have appropriate support to help them do so. The home has a varied menu that is adaptable to residents’ needs. EVIDENCE: The range of activities available to residents has improved greatly since the last inspection. The home has appointed two additional activities co-ordinators, one of whom provides activities specifically on the dementia unit. This has had Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 13 real benefits for residents who have dementia. More use is now made of the main lounge on the dementia unit for activities and the programme of activities includes occasional outings and visits from entertainers. Several residents spoken to during the inspection highlighted the improvement in the activities available. One resident said “There’s so much more to do now”. Aromatherapy, reflexology, manicure, pedicure and hairdressing are available in the home but are payable privately. Residents’ religious, spiritual and cultural needs are recorded on their care plans and religious leaders of several denominations visit the home regularly. Visitors spoken to during the inspection said that they are made welcome when they visit and that staff are available to speak to them about their friend or family member. We found more evidence of residents’ involvement in their care plans than at previous inspections. Care plans identified whether residents need a mental capacity assessment or the involvement of an Independent Mental Capacity Advocate to support them in making important decisions about their lives. The home considers the Deprivation of Liberty Safeguards (DoLS) when making an assessment of residents’ needs regarding decision-making. One inspector shared lunch with residents during the inspection. The meal was a relaxed, unhurried occasion and staff were available to support residents when needed. Most residents we spoke to said they enjoyed the food provided by the home. The soup listed on the menu was not available. One resident said that items listed on menu are often not available. A member of staff said that the kitchen usually advises care staff if a dish is unavailable and that staff pass this information on to residents but that the kitchen had not informed staff that day. The home has a menu for residents who may not wish to eat at set meal a time that is available at any time. There is a ‘three-step’ programme to ensure that people receiving palliative care, or who have difficultly swallowing, receive their meals in a way that best meets their needs. Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has appropriate procedures for the management of complaints. The Complaints procedure is readily available. Guidance is provided for staff in the prevention, recognition and reporting of abuse. The home works co-operatively with other agencies to investigate protection of vulnerable adults (POVA) allegations where necessary. EVIDENCE: The home has a written Complaints procedure, which is available in reception and on each unit. A record is kept of all complaints received and the actions taken to investigate these. The record demonstrated that people who complain get an appropriate response in reasonable time. Few people we spoke to during the inspection had needed to complain but those who had said they were satisfied with the home’s response. Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 15 Training records indicated that staff attend training in the protection of vulnerable adults (POVA) and staff we spoke to said were clear about the action they would take if an allegation of abuse was made to them. Records demonstrated that the home works co-operatively with other agencies to investigate any referrals to the local authority under POVA procedures. Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 21, 24 and 26 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The standard of décor around the home is inconsistent, which means that residents’ experience of their environment is variable. There were not enough communal toilets in some parts of the home. Some of the toilets were not lockable, which compromises the privacy and dignity of people using them. EVIDENCE: The standard of décor around the home is variable. This means that one resident’s experience in terms of their environment may differ considerably Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 17 from another’s. Some areas, particularly the ground floor, are smart and well decorated whilst others have signs of wear and tear and need redecoration. The third floor looks particularly scruffy in parts. The carpets in some areas need replacement, particularly outside the serveries on the second and third floor. Some of the furniture in the nurses’ offices on the units needs to be replaced as it is broken or dirty. The manager said that a full refurbishment of the home is planned in the near future but a date had not been finalised at the time of inspection. The dining room on the dementia unit had some trailing wires from electrical items including a fan and a radio. The home must ensure that trailing wires are made safe to reduce the risk of trips and falls. Residents are able to personalise their rooms as they wish and to bring personal items with them on admission. One resident said she would like a bedside light in her room but did not have one. Upon inspection it was discovered that the resident did have a bedside light in her room but there was no bulb in the lamp. Staff replaced the bulb during the inspection but regular maintenance checks would have prevented the resident being without her bedside light. Not all bedrooms on the first floor have en suite bathroom facilities. We found that two communal toilets on this floor were out of order and two communal bathrooms with toilets were full of equipment and therefore unusable. The toilets in both these bathrooms had broken seats. We also found that some of the communal toilets in the home are not lockable. This compromises the privacy and dignity of residents using them. The residents we spoke to said that the home is kept fresh and clean. All parts of the home were hygienic on the day of inspection. Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are cared for by people they know and who understand their needs. The home carries out appropriate checks on staff when they start work. Staff have access to good training opportunities and good support to do their jobs. EVIDENCE: The residents we spoke to said that staff are available when they need them and that staff provide good care. Residents also said that they usually know the staff who care for them. Staff who returned surveys said they are given up to date information about the needs of the residents they care for. Staff also said that they were given an induction when they started work that covered everything they needed to know. Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 19 We checked fifteen staff recruitment files during the inspection. The files demonstrated that the home obtains important information about new staff before they start work including proof of identity, two references and a Criminal Records Bureau disclosure. Three of the disclosures seen were dated 2005 and another was dated 2004. Although there is no legal requirement to update Criminal Records Bureau disclosures once a member of staff has started work it is considered good practice to obtain a new disclosure for each member of staff at least every three years. Some files did not contain a photograph of the staff member. We saw evidence that new staff have an induction to the home and that staff are appointed subject to the successful completion of a probationary period. Training records demonstrated that staff attend training in core areas including fire safety, moving and handling, infection control, health and safety and the protection of vulnerable adults. Staff also attend training relevant to the needs of residents such as dementia and the use of adaptations and equipment. Staff said they get good support from their managers to do their jobs, including regular one-to-one meetings. Staff also said that they meet monthly as a team to share information and discuss practice issues. Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 32, 33, 35 and 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager is competent and has appropriate qualifications and experience for her role. There are effective systems for monitoring the quality of the service. There are effective systems for managing residents’ money. The home maintains residents’ safety by carrying out regular health and safety checks. EVIDENCE: Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 21 The manager has been in post since December 2008 and is registered with the Care Quality Commission. The manager has obtained NVQ (National Vocational Qualification) level 4 in Management and the Registered Manager Award. Since her arrival at the home the manager has overseen improvements in a number of areas including consistency of service delivery, communication and quality monitoring. The senior staff team comprises the manager, deputy manager and clinical nurse manager. Each unit and department has a manager. Staff told us that the management team regularly spend time on the units, which means they know staff and residents well. Staff also said that they found the management team approachable and supportive. Staff we spoke to said they thought communication amongst the staff team had improved in the last year. All unit managers meet together with the deputy manager each morning to discuss any issues relating to residents or clinical issues. The manager has implemented measures to improve communication with residents and relatives. For example residents/relatives meetings are held regularly to enable residents and relatives to contribute their ideas about the menu, activities, events and other areas. An occasional newsletter is published which provides information about events taking place in the home and any staff changes. There are effective systems for monitoring the quality of the service and identifying improvements. Bupa commissions an annual Customer Satisfaction Survey which gives residents and their relatives the opportunity to give their views about the service. The Bupa quality and compliance department audits all aspects of the service annually and the regional manager carries out monthly monitoring visits. We looked at the systems for managing any money held by the home on residents’ behalf. We found evidence that appropriate records are kept of all transactions and that these records are subject to regular audits. We found evidence that the home carries out regular health and safety checks on the fire alarm system, gas and electricity supply lifting equipment. At the last inspection we made a Requirement that calls to the nurse call system must be responded to in good time. At this visit we found that response times are being recorded but that delays in responding are not satisfactorily explained. The home should ensure that any delays in responding to the nurse call system are investigated and an explanation recorded. Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 22 Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 2 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 2 Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 24 Are there any outstanding requirements from the last No inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard OP19 OP19 Regulation 23(2) 23(2) Requirement All areas of the home must be decorated to a good standard. Carpets and furniture must be clean and of good quality, including in areas where staff work. Trailing wires must be made safe to reduce the risk of trips and falls. There must be enough toilets and bathrooms available on each unit to meet residents’ needs. Communal toilets must be lockable to maintain the privacy and dignity of people using them. Obtain a recent photograph of each member of staff. Any delays in responding to the nurse call system must be investigated and an explanation recorded. Timescale for action 30/12/09 30/12/09 3 OP19 13(4) 30/10/09 4 OP21 23(2) 30/10/09 5 OP21 23(2) 16/11/09 6 7 OP29 OP38 19 13(4) 30/11/09 16/11/09 Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations Re-position the medication fridge in the ground floor treatment room or hang the door on the other side as the current arrangement makes it difficult for staff to access the contents. Ensure that staff inform residents as soon as possible if any dishes on the menu are unavailable. Carry out regular maintenance checks to ensure that equipment in residents’ rooms is working. Obtain a new Criminal Records Bureau disclosure for staff at least every three years. 2 3 4 OP15 OP19 OP29 Meadbank Nursing Home DS0000019107.V378073.R01.S.doc Version 5.3 Page 26 Care Quality Commission London Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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